AANP PRACTICE ACTUAL QUESTIONS AND VERIFIED
ANSWERS ALREADY GRADED A+ LATEST UPDATE 2026-
2027
The 16-year-old mother of a 2-month-old presents the infant, reporting that the
child is very irritable and does not feed well. During physical examination, the
child's head drops back and the child exhibits sudden flexing of the extremities. As
the flexing stops, the child cries uncontrollably. Funduscopic examination reveals
retinal hemorrhages. Which of the following diagnostic tests should be ordered?
1. Skull X-rays
2. MRI
3. CT scan
4. Pet scan - ANS... -CT scan
The most important diagnostic factor in evaluating angina pectoris is the patient's:
1. King of Heart's monitor.
2. physical examination.
3. history.
4. echocardiogram. - ANS... -history
There are three reasons for latex allergies. Which of the following does NOT cause
the problem?
1. Immediate hypersensitivity
2. Irritant contact of dermatitis
3. Cytotoxic hypersensitivity
4. Immune complex reaction - ANS... -cytotoxic hypersensitivity
A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis
(DVT) is about to have lumbar spinal fusion surgery. The patient's warfarin is put
on hold starting 5 days prior to the surgery and subcutaneous Lovenox has been
ordered for DVT prophylaxis until the resumption of the warfarin. The nurse
,practitioner knows that the patient's postoperative warfarin dose should be restarted
based on the:
1. value of her morning Prothrombin time.
2. loading dose of 10 mg, plus the previous warfarin dose.
3. baseline PT and INR values.
4. target INR of 2. - ANS... -caseline PT and INR values
An 87-year-old patient presents with round, pruritic plaques and small vesicles on
the lower legs. The most likely diagnosis is:
1. allergic contact dermatitis.
2. plaque psoriasis.
3. cutaneous T-cell lymphoma.
4. nummular eczema - ANS... -nummular eczema
A 65-year-old woman presents for a follow-up examination after a new patient
visit. She has not seen a healthcare provider for several years. She is a smoker and
her hypertension is now adequately controlled with medication. Her mother died at
age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - ANS... -A statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus
(SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). - ANS... -ibuprofen (advil)
The most common sign of cervical cancer is:
, 1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. - ANS... -postcoital bleeding
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with
neuropathic pain secondary to diabetes mellitus. On follow-up, the patient
complains of urine retention and dry mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin). - ANS... -
discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
omeprazole (Prilosec). The patient complains of headache, abdominal pain, and
gas. These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. - ANS... -associated with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis
is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. - ANS... -ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis
and presents for a follow-up examination after a recent hospitalization. It is most
important to continue monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. - ANS... -hemoglobin levels
ANSWERS ALREADY GRADED A+ LATEST UPDATE 2026-
2027
The 16-year-old mother of a 2-month-old presents the infant, reporting that the
child is very irritable and does not feed well. During physical examination, the
child's head drops back and the child exhibits sudden flexing of the extremities. As
the flexing stops, the child cries uncontrollably. Funduscopic examination reveals
retinal hemorrhages. Which of the following diagnostic tests should be ordered?
1. Skull X-rays
2. MRI
3. CT scan
4. Pet scan - ANS... -CT scan
The most important diagnostic factor in evaluating angina pectoris is the patient's:
1. King of Heart's monitor.
2. physical examination.
3. history.
4. echocardiogram. - ANS... -history
There are three reasons for latex allergies. Which of the following does NOT cause
the problem?
1. Immediate hypersensitivity
2. Irritant contact of dermatitis
3. Cytotoxic hypersensitivity
4. Immune complex reaction - ANS... -cytotoxic hypersensitivity
A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis
(DVT) is about to have lumbar spinal fusion surgery. The patient's warfarin is put
on hold starting 5 days prior to the surgery and subcutaneous Lovenox has been
ordered for DVT prophylaxis until the resumption of the warfarin. The nurse
,practitioner knows that the patient's postoperative warfarin dose should be restarted
based on the:
1. value of her morning Prothrombin time.
2. loading dose of 10 mg, plus the previous warfarin dose.
3. baseline PT and INR values.
4. target INR of 2. - ANS... -caseline PT and INR values
An 87-year-old patient presents with round, pruritic plaques and small vesicles on
the lower legs. The most likely diagnosis is:
1. allergic contact dermatitis.
2. plaque psoriasis.
3. cutaneous T-cell lymphoma.
4. nummular eczema - ANS... -nummular eczema
A 65-year-old woman presents for a follow-up examination after a new patient
visit. She has not seen a healthcare provider for several years. She is a smoker and
her hypertension is now adequately controlled with medication. Her mother died at
age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - ANS... -A statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus
(SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). - ANS... -ibuprofen (advil)
The most common sign of cervical cancer is:
, 1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. - ANS... -postcoital bleeding
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with
neuropathic pain secondary to diabetes mellitus. On follow-up, the patient
complains of urine retention and dry mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin). - ANS... -
discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
omeprazole (Prilosec). The patient complains of headache, abdominal pain, and
gas. These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. - ANS... -associated with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis
is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. - ANS... -ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis
and presents for a follow-up examination after a recent hospitalization. It is most
important to continue monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. - ANS... -hemoglobin levels
